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Chapter 01: Definition & Classification of the Peri-implant Disease Introduction Definition & Classification of the Peri-implant Disease Prevalence of the Peri-implant Disease Discussion
Chapter 02: Histopathology of the Peri-implant disease Periodontal Tissues vs Peri-implant Tissues 1. Peridontal Tissue 2. Peri-implant Tissue
- Connective Tissue Fiber 1. Peridontal Tissue 2. Peri-implant Tissue Histopathology of the Peri-implant Tissues Discussion Peri-implantitis diseases¸¦ ÀÏÀ¸Å°´Â Primary Factors
Chapter 03: Etiology of the Peri-implant Disease Peri-implantitis diseases¸¦ ÀÏÀ¸Å°´Â Contributing Factors
- Bacterial Factor 1. Implant Design 2. Deep Pocket 3. Local Factor
- Occlusal Overload 1. ¿ªÇÐÀû À§Çè ÀÎÀÚ 2. ±â°ø»óÀÇ À§Çè ÀÎÀÚ 3. ±³ÇÕÀÇ À§Çè ÀÎÀÚ 4. °ñ°úÀÇ ÀÓÇöõÆ®ÀÇ °è¸é¿¡¼ÀÇ À§ÇèÀÎÀÚ
- HOST FACTOR : Peri-ImplantitisÀÇ Risk Factor 1. Variable Host Factor 2. Peridontal Diseases
- Peri-implant Biotype
Chapter 04: Guided Bone Regeneration Classification of bone defect
- Classification of Edentulous Ridge (by Siebert)
- Consideration Factors in Classification of Bone Defect (by C.W. JEONG) 1. Analyze the defect Type Based on Bony Wallsafter Implant Placement 2. Original Bony Contour 3. Width of Defect Base & Height of Bone Peak 4. Critical Bone Thickness(ÀÓ°è °ñÆÇ µÎ²²) 5. Critical Gap Distance(ÀÓ°è Æ´ °Å¸®) 6. Anticipated Bony Contour & Implant Position 7. Distance Between Bony Envelope and Implant Surface GBR Materials
- Guided Bone Regeneration(GBR) 1. Spacemaking 2. Which One is More Important, Membrane or Bone Materials?
- Membranes for GBR 1. Requirements of Membranes 2. Type of Membrane(Â÷´Ü¸·ÀÇ ºÐ·ù) 3. Charateristic of Membrane (ºñÈí¼ö¼º Â÷´Ü¸· vs Èí¼ö¼º Â÷´Ü¸·ÀÇ Æ¯¼º) 4. Non-Resorbable Membranes (ºñÈí¼ö¼º Â÷´Ü¸·)ÀÇ Á¾·ù 5. Resorbable MembranesÀÇ Á¾·ù (Èí¼ö¼º Â÷´Ü¸·)
- Bone Materials(°ñ ÀÌ½Ä Àç·á) 1. Autograft(ÀÚ°¡°ñ) 2. Allografts(µ¿Á¾°ñ) 3. Xenografts(ÀÌÁ¾ À̽ÄÀç) 4. Alloplast(ÇÕ¼º °ñ À̽ÄÀç)
- Membrane Stabilization Techniques 1. Membrane Position 2. Stabilizing the Membrane Incision
- Horizontal Incision 1. Buccal incision technique 2. Crestal Incision Technique 3. Releasing Incision(advanced flap) 4. Lingual Incision(Overlaped flap)
- Thinning the Flap
- Vertical Incision
Suture - Mattress Suture 1. Horizontal mattress suture 2. Vertical Mattress Suture
- Summary of Incision & Suture
Time - ÀÓÇöõÆ® ½Ä¸³°ú °ñ À¯µµ Àç»ý¼ú(¶Ç´Â Ä¡Á¶Á¦ Àç°Ç¼ú)ÀÇ ½Ã±â¸¦ °áÁ¤ÇÏ´Â Guideline 1. µ¿½Ã¹ý(Simultaneous Approach) (Buser µî, 1995, Jovanovic, 1997) 2. ´Ü°è¹ý(Staged Approach) (Buser µî, 1995, Jovanovic , 1997) 3. µ¿½Ã¹ý°ú ´Ü°è¹ýÀÇ ¼±ÅñâÁØ 4. µ¿½Ã¹ý°ú ºñ±³½Ã ´Ü°è¹ýÀÇ ÀåÁ¡
- GBRÀ» ´Ü°è¹ýÀ¸·Î ½ÃÇàÇßÀ» ¶§ÀÇ ÀÓÇöõÆ® ½Ä¸³ ½Ã±â
Chapter 05: Exam & Diagnosis of the Peri-implant Disease - Evaluation of the Oral Hygiene Standard 1. Plaque Assessment(Ä¡ÅÂÆò°¡)
- Evaluation of Peri-Implant Marginal Tissue 1. Mucosal Condition(Á¡¸· »óÅÂ) 2. Presence or Absence of Bleeding (ÃâÇ÷ÀÇ À¯¹«) 3. Probing Depth(ÀÓÇöõÆ® ÁÖÀ§ Žħ ±íÀÌ) 4. Width of Peri-implant Keratinized Mucosa(ÀÓÇöõÆ® ÁÖÀ§ °¢È Á¡¸·ÀÇ ³ÐÀÌ) 5. Peri-implant Sulcus Fluid Analysis (ÀÓÇöõÆ® ÁÖÀ§ ¿±¸¾× ºÐ¼®) 6. Suppuration(ȳó)
- Evaluation of the Bone-implant Interface(°ñ-ÀÓÇöõÆ® Á¢Ã˸é Æò°¡) 1. Implant Mobility and Discomfort (ÀÓÇöõÆ® µ¿¿äµµ¿Í ºÒÆí°¨) 2. Resonance Frequency Analysis, RFA(°ø¸í ÁÖÆļö ºÐ¼®) 3. Radiographic Evaluation (¹æ»ç¼±Àû Æò°¡)
- Discussion
Chapter 06: Progression of the Peri-implant Disease -Progression of the Peri-implant Disease
- Periodontal Biotype 1. Gingival Thickness¿Í Periodontal Diseases 2. Marginal Bone Thickness¿Í Periodontal Diseases 3. Ä¡±ÙÀÇ À§Ä¡¿¡ ÀÇÇØ °áÁ¤µÇ´Â BoneÀÇ Thickness 4. Gingival & Bone Thickness¿Í Periodontal Diseases
- Consideration of Periodontal Biotype in Dentistry Influence of Biotype on Progression of Periodontitis Type 1 Thick Gingiva & Thick Marginal Bone Type 2 Thin Gingiva & Thick Marginal Bone Type 3 Thick Gingiva & Thin Marginal Bone Type 4 Thin Gingiva & Thin Marginal Bone Influence of Biotype on Progression of Peri-implant Disease
- Classification of Peri-implant Biotype(by C. W. Jeong) Type 1 Thick Gingiva & Thick Marginal Bone Type 2 Thin Gingiva & Thick Marginal Bone Type 3 Thin Gingiva & Thick Marginal Bone with Low Vestibule Type 2 Subtype Type 4 Thick Gingiva & Thin Marginal Bone Type 5 Thin Gingiva & Thin Marginal Bone Type 6 Thin Gingiva & Thin Marginal Bone with Low Vestibule
- Progression of Peri-implant Biotype (by C. W. Jeong) Symptoms of the Peri-implant Disease Discussion
Chapter 07: Treatmemt of Peri-implant Disease Treatment of Peri-implant Disease
- Cumulative Interceptive Supportive Therapy
- Nonsurgical or Surgical Therapy Non-surgical Therapy-LDDS, Curettage, Laser
- Ä¡Àº ¿¬»ó ¹× Ä¡Àº ¿¬ÇÏ Ä¡Å Á¶Àý
- Ä¡Å Á¶ÀýÀ» À§ÇÑ ÀûÀýÇÑ Ä¡°£°ø±ØÀÇ Çü¼º
- Local Antibiotic Therapy 1) Local Drug Delivery System 2) ºñ¿Ü°úÀû Ä¡·áÀÇ ÇÑ°è
Surgical Therapy - Open Debridement(Flap curettage)
- Gingivectomy 1. Instruments for Gingival Excision 2. Incision Method 3. Gingivectomy with Laser 1) Laser in Dentistry 2) ÀÓÇöõÆ® ÁÖÀ§¿° Ä¡·á¸¦ À§ÇÑ °¢°¢ÀÇ ·¹ÀÌÀú 3) ·¹ÀÌÀú : Ä¡ÁÖÁúȯġ·á¿¡ ´ëÇÑ ½ÇÇèÀû ¹× ÀÓ»óÀû ¿¬±¸ 4) ·¹ÀÌÀú¸¦ ÀÌ¿ëÇÑ ÀÓÇöõÆ® ÁÖÀ§¿° Ä¡·á¸¦ À§Çؼ´Â ¼ÒÆļúº¸´Ù Ä¡ÀºÀýÁ¦¼úÀÌ È¿°úÀûÀÌ´Ù
- Free Gingival Graft 1) FGGÀÇ ¸ñÀû 2) Recipient BedÀÇ Çü¼º 3) À̽ÄÆíÀÇ Ã¤Ãë
- Connective Tissue Graft 1) CTG with Horizontal Incision 2) CTG Without Horizontal Incision 3) Donor tissue äÃë
- ÀÓÇöõÆ® ÁÖÀ§ÀÇ °¢ÈÄ¡Àº 1) ÀÚ¿¬Ä¡¾Æ³ª ÀÓÇöõÆ® ÁÖº¯¿¡ °¢È Ä¡ÀºÀÌ Á¸ÀçÇÏ´Â °ÍÀÌ ÁÁ´Ù´Â ÀÌ·Ð 2) ÀÓÇöõÆ® ÁÖº¯¿¡ °¢È Ä¡ÀºÀÌ ¾ø¾îµµ ¹«¹æÇÏ´Ù´Â ÀÌ·Ð 3) ÃÖ±ÙÀÇ ÀÓ»óÀû ¿¬±¸ °á°ú 4) °¢ÈÄ¡ÀºÀº ÀÓÇöõÆ®ÀÇ Àå±â°£ÀÇ À¯Áö¿¡ ÀÖ¾î¼ Áß¿äÇÑ ¿ä¼ÒÀΰ¡? 5) Vestibular Depth°¡ Áß¿äÇÏ´Ù Regenerative or Resective Surgical Therapy 1. Regenerative Surgery 1) Resective Surgery vs Regenerative Surgery 2) Re-Osseointegrtion 3) Decontamination Method of Affected Implant Surface 4) Laser Treatment on Contaminated Implant Surface 5) Limitation of Laser Instrumentation 6) Modification of the laser tip 458 2. Resective Therapy with/without Osseous Surgery 1) º¯¿¬ Ä¡ÀºÀÇ ±Ù´Ü º¯À§¸¦ À§ÇÑ °ñ¸· Àý°³ ¹× ºÀÇÕ 2) Osseou Surgery 3. Remove the Fixture Discussion
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